Abstract
Cows' milk allergy is an immune-mediated reaction to the proteins in cows' milk, which may be IgE-mediated or non-IgE-mediated. An allergy-focused clinical history is the key to making a diagnosis. IgE-mediated allergy can be investigated by skin-prick tests or blood tests. There are no tests available for non-IgE-mediated cows' milk allergy. Avoidance of cows' milk is the most important aspect of management. Breastfed babies should continue to breastfeed with cows' milk exclusion in the mother's diet; formula-fed babies will need specialist formulas. The majority of children will eventually outgrow cows' milk allergy. This paper will focus on the identification and management of the different types of cows' milk allergy.
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